Published 05/23/2011 - 3:18 p.m. CDT
The
"Heimlich poster
bill" in the Texas Legislature
underscores a long-simmering
if little-known
controversy
over the best way to treat
choking victims.
The
American Red
Cross no longer
recommends abdominal thrusts
as the best way to treat
choking victims. The agency's
first-aid classes now
recommend five
thumps on the
back, between the shoulder
blades, before attempting the
Heimlich maneuver.
There is no evidence
that
the Heimlich maneuver helps
better than giving a choking
victim a
severe slap on the
back a couple of
times.
Today, the Red
Cross advocates an escalating
approach known as "five and
five" to dislodge foreign
objects from the throat:
1) Leaning the person forward,
deliver five firm blows
between the shoulder blades
using the heel of your
hand. 2) If the
obstruction
persists, give
five abdominal thrusts. While
standing behind the person,
wrap your arms around and
position a fist under the rib
cage but above
the navel.
Press into the abdomen with a
quick upward thrust as if
trying to lift the person. 3)
Alternate between five blows
and five abdominal thrusts
until the blockage is
removed.
"The
Heimlich Institute ... called
the new Red Cross protocol
misguided."